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BUILDING- INSPECTOB BECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS r)$ \rlR 8r ll,r)l R lrl..l r''rx,\ I loN
<br />I tEEby.fiimr uni.r FMlry of Frjury filt I !m.x.nu le rh. (bnr od li.ft.ljw fo' OE folbwint Ers (s(.7011.5
<br />tlusiness ond Prolarr Cod.) Any C{y nr Counv phah rcqutr.r t Fmn k' .dnntur, rlr.r, i'r{r.w, &nnrn ( B!.tr Dy
<br />studuE. Irn' b irs n'un.. rl$ EiIIiEs rlE rl'plitrnt for r*'h Fmni k lik ! itEd tri.m.r rhd h or rlr u lt.M'l ,nBad,
<br />r. rlE rmvaiom .f 0E ConrEroir 1....$d l.v (Ct.nr.. ,. (tlftEin! *irh s6rhn 7([0 ol l)ivnhi ] oI rlE lluiE* .nd
<br />ProL$r,N C&1., or lhd lE d, rh. B.t.qx rtE.lrom rn, 'lE
<br />t.n1r.n riE !ll.3.d.i.nrxrtr AnyvDLr,.ors.c[r70]l5brrny
<br />inDlrc. aor r p.mn rubrcB rlE rDDlrcnnr ro . cril p.Nh y of mr mr. rh.r liv. h{ndrcJ d.lh( (tlrD
<br />_1, a .rE. .I tlE F.pdry, d m, .rphF6 *th *.t.t & rh.i. ol. snp.Mn.. *ill d' iE *fli rn lll rM@ i d
<br />harlql nofiGral for d. (Sd.7Or4. auriE rnd PrDfq66 CcL: TIE Codrrrdi Lici. Uw *.! Dr.pplylo rn oytr ol
<br />rlE Foltny wlD hildr n iqrcE rtsq .!n vho d6 {dr qlt hre! oi lEslr or rlElah ti! q ld orn.nPhFa.
<br />F.ril.d rhd r$h irpoEr r&d ir..d.d ft.[.r.d kr{b.lt lrrw. Ehlud4tnitrFEdd!hldwi!i.@)a
<br />olonphi,\ dE owE Buirja wlll h.E trE hr.rk olFovira lrr lr CE Jil m{ tu!or EI.trE 0l FoFly &rttE,q!G.6r
<br />_1, a dff of rlE FrFy. m .rlu.iv.ly 6dB1!B snh lrr$.d Nddr6 t. !.n{Mr rtE For.d (Se. ,O|,|, luliEs
<br />.!n P!.BidrC.&: TIECo dm ! Li.he Lrs d6 d.rply to sovxr ol FrFny *ho b{'ldr or 'nobtr tlb6{
<br />Md rtF oddr I uh pioFt' rnh . Cod r.rlr) lictrcd I{ d
<br />'o
<br />rtl Cdr'ddi tj..e l*l
<br />_I rm.rqr ufli<r S..r
<br />llllEf,llf-gQlcfldsAna!
<br />IESIdXAIIN
<br />I lErby rlftrm un&r F iyofFr,,od orrl. lolhNsa deLdn6
<br />_l h.E rd $U miff.n! r Cdlfd. orcdEd b s.lt-!|& tu sxt6 lrrFdE[.t FtrviLd fd bysds !7m ol E
<br />l-dv C.d.. td tlE pd(xrlrc ol tlt xd.i tir rnrh tl' Fnn u s*n
<br />_l h.k .d *ill Didri! mrt6 .uF.Nrioi !rlfu-.. I Equid t', Stri,n 37@ ol rlt lllu Co&. td rh. FllN ol
<br />tlE vrl t( vhi.h thi! pqd n Eqrd My wt6 orFdD. ltltllrur ceE &l tllry nnIE ft:
<br />_t 6ify rhr intl: Fto lr)!N oltlr *nl lr r'fitn ttu p{mir i! dad.I !h.J d.npby u} pq-r u u, lM
<br />$ rrob.smrlbFrb r mrr6'onpdubn Lri olcdrLml.rn.ar thr ilI.ltruld t+.ft alF rorlE
<br />*xt6' @nFnero pdvilirB of Sdrnn l?mof d. Lld CsL.l idl, ldhvrh.uply *nh tho- prDvirDB
<br />WARNTNC' FrhE to M sst6'ar+6r.l,n okErF ! !,lllrrll !,n rr' Nhid e .!tplor! b qlu] Irli: ud
<br />civil fiE up ro oE hurdr.d rlnu.d dr L.r {tl(nulr). ,n dd{bn ro rlE od of cetE^.n6. d.trq.r a Fnwr.d ld th.
<br />Serim 1076 of rlE l-.tor Cod., i.r@r .r!d drmy'r f*t
<br />UCEIIDCANITASIUf,
<br />DfillLaLarMr
<br />I h.Fby rlltm utuld p.M,iyofp.rjury rh, Irm la(.r.d !.dc. Frvlfn rl CnrI{€ 9 r..mrEi.g *nh Sdnn ?fir) or Dnixi]i l
<br />ol trE Bulims ud P,oEsioB Cod.. {d my lr.ne ir o tull lirc lrl .fld.
<br />l,iccs. C[ss:-ljeN. NumlE.
<br />D.r.
<br />-
<br />(-Mlmto.-
<br />COII.IIaIICIIONIINIII GIGEI(I
<br />I h.Eby afrnt utuld p.nlliy of n rury rhi, rh.E B u odnnnd k, Lr irg .3..ry ,nr rlE F forrurE. o, rh. ktrt l Ph(h rhr F.mn n
<br />nsued ls.c 1(]97,Civ C ).
<br />AIr]IIANLDESdBIIIO!
<br />I h.tr'y 3fm rnd.r D.n.hy of p.rjury oM of rh. follow'n8 dalurtunr
<br />D.mr(ion Pcmit-Asb.sros Ndiri(ribtr F.d..rl RquLr.n! Onh.lo, Pd6)
<br />R.qun.d L. .r ollldf..rio.
<br />-l
<br />..ni{y iha rlE f.d.r,l EgubrioN EgirJ'ng rstI(..EnrNrl!E n{ !$'l(rhL k' rhn pn'Fd
<br />-I
<br />(6iay usr I h.r E d that rpdiolbn rl dd. tn.1 rlE .b.r DlDinri,n n cllcr I rt@ ro @nlPlt v.h .ll Cil, In Csdy
<br />drtil4d .lt St'r. L.ar Ehrht to hllldn3 ..lhlii,tr !d lRby .dh.ri& EF*driq of ili, Cty rd Coudy t. da !!on rrE
<br />lhovc lmrDEd pmFny 61 6ldpr F4IB
<br />Prnnll( BmrDdnil:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVlnsulation A,/4'
<br />Roof Sheathinq 41r/1rZ !&tlb 0/6r/
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />It lJ
<br />61/typ 00a/44 /46-y
<br />Certificate ol Occupancy
<br />Notes, Remarks, Etc
<br />Rev.08.07-2015
<br />FINAL
<br />Ihl.-
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